Salem Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

51711 Issued in WV

Legal business name

SALEM VOLUNTEER FIRE DEPARTMENT

Practice address

60 Mill Street
Salem, WV 26426-9402

Phone

(304) 782-3333

Fax

(304) 782-3819

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Van Todd

Title

Chief

Phone

(304) 782-3333

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1720128168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264260126",
            "telephone_number": "304-782-3333",
            "fax_number": "304-782-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MILL STREET",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269402",
            "telephone_number": "304-782-3333",
            "fax_number": "304-782-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-782-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "51711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144991000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET-WORKERS COMP",
            "identifier": "1025862",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "70922",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Robinson
• Brandi S Rock, COTA/L
• Grace Rock
• James A Rowan
• Salem Family Medicine Inc
• Evangeline Yvonne Samples
• Donavon Saporito
• Tosha M Savage
• Pamela Lynnette Schield, ATC
• Graci Schoonover

• Land Ambulance in Salem, WV
• Providers in Salem, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.